| NPI | 1578734067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 4294) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2019-08-23 |